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Nowadays clinical medicine is to a great extent dependent on techniques and instrumentation. Not infrequently, instrumentation is so complicated that technical specialists are required to perform the measurements and to process the data. Interpretation of the results, however, generally has to be done by physicians. For proper interpretation of data and good com munication with technical specialists, knowledge of, among other things, principle, advantages, limitations and applicability of the used techniques is necessary. Besides, this knowledge is required for critical comparison of systems...

Advances in cellular physiology and molecular biology have now disclosed the metabolic changes and adaptational responses of the heart to various kinds of stresses. Topics covered in this volume include the regulation of myocardial proteins in mechanical overload, the alteration of adrenoceptors in the stressed heart, metabolic adaptation in cardiac hypertrophy, intracellular calcium metabolism in the ischemia-reperfused myocardium, calcium overload as a cause of myocardial stunning, acquisition of ischemic tolerance by ischemic preconditioning, factors that accelerate myocardial injury, and...

Improving our insights into the genetic predisposition to cardiovascular disease is one of the most important challenges in our field in the next millennium, not only to unravel the cause of disease but also to improve the selection of patients for particular treatments. Nowadays, for example, subjects with a cholesterol above a particular plasma level are exposed to a cholesterol lowering regime based upon the beneficial outcome of epidemiological studies which include subjects not prone to the disease, despite a plasma cholesterol above the accepted level. Identification of the patients who...